{
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"FirstLineMailingAddress": "3216 FERGUSON RD",
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"MailingAddressStateName": "MO",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3216 FERGUSON RD",
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"EnumerationDate": "08/13/2015",
"LastUpdateDate": "02/09/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STELLING",
"AuthorizedOfficialFirstName": "HEATHER",
"AuthorizedOfficialMiddleName": "DIANNE",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "417-499-1503",
"Taxonomies": {
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"TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
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"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}